B.亚洲新闻摄影比赛参赛表（中英文网站）(1).docVIP

Entry Form for the Asia Press Photo Contest on Changing Aisa 第三届亚洲新闻摄影比赛参赛申请表 Name (Chinese) 姓 名（ 中 文 ）: Surname (English) 姓（ 英 文）: Given Name (English)名（ 英 文）: Age（ 年 龄）: Date of Birth (d/m/y) 出 生 日 期（ 日 /月 /年）: Gender（ 性 别）: Address(通 信 地 址 ): City（ 城 市 ）: Country（ 国 家 ）: Postal Code（ 邮编）: Telephone（ 电话）: Fax（ 传真 ）: E-Mail address（ 电 子 信 箱 ）: Note ( 填 写 须 知 ) Please print your information and sign the entry form before submitting it to the organizing committee of APPC 2007. 务必打印或使用印刷体填写表格，确保内容填写完整清晰，并在表格中指定区域签字。 Please indicate the correct sequence of the photos (photo number) in alphabetical order, e.g. 1/A, 1/B and 1/C, if the photos are for a set of photo stories/ portfolios. 在递交系列照片时，按字母顺序写明所送照片的正确顺序，例如1/A, 1/B 和 1/C。单幅照片和系列照片应分别注明和填写。 The date when the photo was taken or published should between January 1, 2011 and December 31, 2011, with the sequence of d/m/y. 照片拍摄时间或作品发表时间必须在2011年1月1日至2011年12月31日，标注时间的顺序应为日/月/年。 Additional piece of paper may be attached to the form if more space is needed for further information. 如有必要，可以另附纸张注明必要信息。 Declaration of Entry （参赛声明） I am a professional press photographer/photojournalist. I declare that I agree to all the rules and regulations of the Asia Press Photo Contest on Changing Asia issued on December 1, 2011. All entries submitted were shot/completed/published between January 1, 2011 and December 31, 2011, and I hold the right to publish, distribute and exhibit these photos. I hereby transfer the organizing committee of the APPC 2012 the perpetual rights, free of charge, to use my photos in its publications or exhibi